Texas Research Initiative for Adolescents in the Legal System (TRIALS)

德克萨斯州法律系统青少年研究计划（试验）

• 批准号: 8688980
• 负责人: DANICA K KNIGHT
• 金额: $ 63.85万
• 依托单位: TEXAS CHRISTIAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-01 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8688980
• 关键词: AIDS/HIV problem; Address; Adolescent; Adoption; Alcohol or Other Drugs use; Area; Caring; Client; Clinic; Clinical; Clinical Services; Collaborations; Communities; Continuity of Patient Care; County; Data; Development; Effectiveness; Elements; Evaluation; Evidence based practice; Feedback; Focus Groups; Funding; Goals; Health; Health Personnel; Health Services Accessibility; Healthcare; Home environment; Individual; Institutes; Intervention; Interview; Justice; Lead; Legal system; Mental Health; Methods; Modeling; National Institute of Drug Abuse; Outcome; Outcome Measure; Penetration; Pharmaceutical Preparations; Phase; Population; Problem behavior; Process; Provider; Psyche structure; Public Health; Quality of Care; Randomized; Readiness; Research; Risk; Sampling; Secure; Services; Specific qualifier value; Strategic Planning; Structure; Substance abuse problem; Supervision; Surveys; System; Techniques; Testing; Texas; Training; Work; Youth; adolescent substance use; base; compare effectiveness; design; evidence base; experience; implementation research; improved; in vivo; juvenile delinquent; juvenile justice system; meetings; member; parole; probation; prototype; satisfaction; screening; substance abuse treatment; systems research; treatment planning; uptake

Implementation of evidence-based practices (EBPs) within juvenile justice (JJ) settings has been limited. Service delivery occurs within disconnected practice settings (e.g., parole/probation, drug treatment, public health), with limited continuity of care. Effective strategies are needed for implementing EBPs to improve service delivery to adolescents under juvenile justice supervision and promote sustainable changes across large, multifaceted systems. The goal of the TRIALS initiative is to support implementation research that improves the continuum of substance abuse and HIV/AIDS services for adolescents in the legal system. Our research concept focuses on improving HIV/AIDS testing and referral within the JJ continuum. Using a randomized cluster design, the effectiveness of Community-wide (CW) and Horizontal Cascading (HC) implementation strategies will be compared. Both involve a Plan-Do-Study-Act approach that promotes change at the community level through training, the use of Community Change Teams (CCT), and guidance from external coaches. In the CW condition, JJ and other professionals (actively involved in overseeing and/or providing services for juveniles) will be asked to collaborate with multiple substance use treatment provider agencies within a specified community in the development of strategic plans to address gaps in the service delivery continuum. These individuals will be invited to participate in CCT training and planning efforts. Implementation of strategic plans will be allowed to proceed without additional coaching or implementation intervention strategies. In the HC condition, along with JJ and other professionals actively involved in providing services to juveniles, CCT membership will include a single treatment provider agency. The CCT will be tasked with developing a ¿prototype¿ for carrying out the strategic plan within the participating treatment provider agency. Once implemented successfully, the prototype will serve as a model for systematic roll out to the other providers in the community, with CCT members functioning as ¿in-vivo¿ coaches. The research concept involves random assignment of 40 clusters of providers (e.g., Community/county) to either the CW or HC study condition. Using mixed-methods, data will be collected at the community, provider, staff, and client levels. The degree to which implementation strategies, organizational readiness for change, and interagency collaboration promote implementation, service, and client outcomes will be examined using multilevel analytic techniques. In collaboration with the Texas Juvenile Justice Department, we have established an interdisciplinary team to design meaningful studies that will identify implementation strategies that are viewed as valuable, acceptable, feasible, and sustainable by the field.

在少年司法（JJ）设置中实施基于证据的实践（EBP）是有限的。 服务交付发生在断开的练习环境中（例如假释/缓刑，药物治疗，公众 健康），护理连续性有限。实施EBP以改进需要有效的策略 在少年司法监督下向青少年提供服务，并促进跨越的可持续变化 大型多面系统。试验计划的目的是支持实施研究 改善法律体系青少年的滥用药物和艾滋病毒/艾滋病服务的连续性。我们的 研究概念的重点是改善JJ连续体内的艾滋病毒/艾滋病测试和推荐。使用 随机集群设计，范围内（CW）和水平级联（HC）的有效性（HC） 将比较实施策略。两者都涉及促进变化的计划进行研究的方法 在社区层面，通过培训，使用社区变革团队（CCT）的使用以及 外部教练。在CW条件下，JJ和其他专业人员（积极参与监督和/或 为少年提供服务）将被要求与多个药物使用治疗提供者合作 在制定战略计划中，指定社区中的机构解决服务差距 交货仍在继续。这些人将被邀请参加CCT培训和计划工作。 实施战略计划将被允许在没有其他教练或实施的情况下进行 干预策略。在HC条件下，JJ和其他专业人员积极参与提供 CCT会员资格为少年提供服务。 CCT将被任务 通过开发原型用于参与治疗提供者中的战略计划 机构。一旦成功实施，该原型将作为系统推出的模型 社区中的提供者，CCT成员的工作人员为“ in-Vivo”教练。研究概念 涉及将40个提供商（例如社区/县）的40个群集的随机分配到CW或HC研究 健康）状况。使用混合方法，将在社区，提供商，员工和客户级收集数据。这 实施策略，变革的组织准备和互动协作的程度 促进实施，服务和客户结果将使用多级分析技术进行检查。 与德克萨斯州少年司法部合作，我们建立了一个跨学科团队 设计有意义的研究将确定被视为有价值，可接受的实施策略 可行的，可持续的领域。